Healthcare Provider Details

I. General information

NPI: 1508113549
Provider Name (Legal Business Name): WE DO THAT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2012
Last Update Date: 08/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5261 DELMAR BLVD STE 216
SAINT LOUIS MO
63108-1013
US

IV. Provider business mailing address

5261 DELMAR BLVD STE 216
SAINT LOUIS MO
63108-1013
US

V. Phone/Fax

Practice location:
  • Phone: 314-723-6206
  • Fax:
Mailing address:
  • Phone: 314-723-6206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: NICOLE CARTER
Title or Position: CEO
Credential: SHM
Phone: 314-359-0896